Baer L, Angel J, Parchment Y, Guidera S, Mayer R
Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York 10032.
J Cardiovasc Pharmacol. 1990;16 Suppl 7:S114-6.
We have analyzed the control of hypertension and the demographics of 898 actively treated (AT) (visits within past 12 months) and inactive patients (IAT) (no visit for at least 12 months) in six worksite hypertension programs established in 1977. Results were analyzed using Student's t test and correlation coefficients. Patients are treated at the worksites by a nurse-physician team using a stepped-care protocol. In the AT group (n = 436), the mean age was 52 +/- 0.5 years, initial blood pressure (BP) was 152 +/- 1/97 +/- 0.5 mm Hg, and current BP was 136 +/- 0.7/86 +/- 0.04 mm Hg (p less than 0.001). Of the 436 patients, 194 were men and 242 were women (217 Caucasian and 156 black). In the IAT group (n = 462) mean age was 51 +/- 0.5 years, initial BP was 154 +/- 1/99 +/- 0.5 mm Hg, and last BP was 138/88 +/- 0.4 mm Hg (p less than 0.001). Of these, 171 were men and 291 were women (238 Caucasian and 171 black). No differences in initial and current BP were noted when comparing the AT with the IAT group. The percent of Caucasian (43%) and blacks (36%) men in the AT group was similar to those in the IAT group (37%). Control of hypertension at worksites where blacks predominate was similar to sites where Caucasians predominate. We conclude that worksite control of hypertension over a 10-year period maintains approximately 50% of the initial population under treatment. Control rates greater than 80% to less than 90 mm Hg diastolic are present despite heterogeneity in demographics.
我们分析了1977年设立的六个工作场所高血压项目中898名积极治疗患者（AT，过去12个月内有就诊记录）和非积极治疗患者（IAT，至少12个月无就诊记录）的高血压控制情况及人口统计学特征。结果采用学生t检验和相关系数进行分析。患者在工作场所由护士-医生团队按照逐步护理方案进行治疗。在AT组（n = 436）中，平均年龄为52±0.5岁，初始血压（BP）为152±1/97±0.5 mmHg，当前血压为136±0.7/86±0.04 mmHg（p < 0.001）。在这436名患者中，194名为男性，242名为女性（217名白种人，156名黑人）。在IAT组（n = 462）中，平均年龄为51±0.5岁，初始血压为154±1/99±0.5 mmHg，末次血压为138/88±0.4 mmHg（p < 0.001）。其中，171名为男性，291名为女性（238名白种人，171名黑人）。比较AT组和IAT组时，未发现初始血压和当前血压存在差异。AT组中白种人男性（43%）和黑人男性（36%）的比例与IAT组（37%）相似。黑人占主导的工作场所的高血压控制情况与白种人占主导的场所相似。我们得出结论，在10年期间，工作场所的高血压控制使约50%的初始治疗人群维持在治疗状态。尽管人口统计学存在异质性，但舒张压控制率在80%至90 mmHg之间。
